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EPIDURAL  ANALGESIA  IN LABOR
MEDICOLEGAL CONSIDERATIONS ,[object Object],[object Object]
?
Mortality crude overall mortality 1:1000  operations death during anesthesia  or within 24hrs 1:13000 complications   1:750   anesthetics death due to anesthesia  1:250000
INDICATIONS FOR EPIDURAL ANALGESIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],unless contraindications exist
Steps of Epidural Injection
 
Maternal   Complications  of   Epidurals in Obstetrics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Spinal headache ,[object Object],[object Object],[object Object],[object Object]
Methods of Treatment ,[object Object],[object Object],[object Object],[object Object]
Methods of Treatment ,[object Object],[object Object]
Dural Tap Protocol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Coagulation and Epidurals ,[object Object],[object Object],[object Object]
Coagulation Disorders in Pregnancy Physiological Changes Coagulopathies in Pre-eclampsia Iatrogenic coagulation disorders Diseases associated with coagulation abnormalities
IATROGENIC COAGULOPATHIES ,[object Object],[object Object],[object Object],[object Object]
ASPIRIN LOW-MOLECULAR-  WEIGHT HEPARIN  or a  COMBINATION OF THEM To do  or not to do  EPIDURALS   ???
Analgesia for Labor and Delivery   in Toxemia  of  Pregnancy ,[object Object],[object Object]
?
Epidural Analgesia for LABOR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INDICATIONS FOR CONTINUOUS EPIDURAL ANALGESIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
STAGE OF LABOR ,[object Object],[object Object],[object Object],[object Object]
Trends   of Pain Relief Method in Our Labor Ward (%) ,[object Object],[object Object],[object Object]
Analgesia Satisfaction Rate Satisfactory pain relief  91% Incomplete analgesia  4% Unilateral analgesia  3% Without any pain relief  2%
MODE OF DELIVERY ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Fetal Outcome
COMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Epidural analgesia in labor